Remote - HEDIS Abstractors / HEDIS Reviewers (6600)

This is a remote, seasonal/part-time position available to candidates located within the United States. Applicants must be eligible to work in the United States.

Pay

• Training pay rate: $20/hour
• Live season pay rate: $24/hour

About the Role

Under the supervision of the Medical Record Review team, the HEDIS Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection. The abstraction team will meet chart abstraction productivity standards.

Responsibilities

• Review medical records and transfer critical HEDIS data elements into a specified data entry portal to support HEDIS reporting and quality improvement
• Data entry into Advantmed proprietary software
• Maintain accuracy thresholds as set forth by Advantmed
• Comply with HIPAA laws and regulations
• Attend self-paced recorded training within a defined timeframe for required measures

Requirements

• Minimum of 2 years or 2 seasons of prior work experience in HEDIS abstraction/review in any of these measures: BPD, CBP, GSD/HBD, COA, CIS, IMA, CCS, EED, LSC, COL, TRC, PPC, or WCC
• Expertise in all sub-measures of these full HEDIS measures: TRC, PPC, WCC
• Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR Licensed Nurse: LPN, LVN, RN with an active license
• Possess a Windows-based laptop or desktop computer and have access to a high-speed internet connection

Schedule

• Complete a self-paced, recorded training program within a designated timeframe, covering key measures
• Post-training, available to work between 6:00 AM EST and 6:00 PM EST, with a minimum commitment of 4 hours per day and a maximum of 8 hours per day
• Chart reviews follow a first-come, first-served basis each day; no split shifts
• Weekend availability may be required, depending on upper management's decision as the live season progresses